| Mile Square Dentistry | |
|
15972 Euclid St Ste F Fountain Valley CA 92708-1133 | |
| (714) 839-7660 | |
| (714) 839-7693 |
| Full Name | Mile Square Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 15972 Euclid St Ste F, Fountain Valley, California |
| Authorized Official Name and Position | Jenni Ha Nguyen (CO-OWNER) |
| Authorized Official Contact | 7148397660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile Square Dentistry 15972 Euclid St Ste F Fountain Valley CA 92708-1133 Ph: (714) 839-7660 | Mile Square Dentistry 15972 Euclid St Ste F Fountain Valley CA 92708-1133 Ph: (714) 839-7660 |
| NPI Number | 1891972287 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891972287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40287 (California) | Primary |
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